MATTHEW MICHAEL THRALL (NPI# 1659534006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659534006 |
| Entity Type | Individual |
| Full Name | MATTHEW MICHAEL THRALL |
| Credential | MD |
| Practice Address |
1561 Long Pond Rd Rochester NY 14626-4117 |
| Practice Telephone | 5857237769 |
| Practice Fax Number | 5857237834 |
| Mailing Telephone | 5857237769 |
| Mailing Fax Number | 5857237834 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
270990 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
270990 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1561 LONG POND RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707905 | Tatiana Zilberberg | Pathology | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2005-08-10 |
| 1992365316 | Olusayo Sarah Akinboboye | Physician Assistant | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2019-06-18 |
| 1134660806 | Irene Jarema | Registered Nurse | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-03-15 |
| 1215474994 | Mark Stowell | Pharmacist | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2017-01-19 |
| 1881140168 | Sarai Shyday Huitt | Nurse Practitioner | 1561 Long Pond Rd, Suite 202, Rochester, NY 14626-4117 | 2016-08-28 |
| 1437534294 | Kathryn Maureen Godshalk | Physician Assistant | 1561 Long Pond Rd, Suite 303, Rochester, NY 14626-4117 | 2015-07-22 |
| 1871976480 | Galina Mikhalina | Internal Medicine | 1561 Long Pond Rd, Rochester, NY 14626-4117 | 2015-06-30 |
| 1043612401 | Lauren Marie Newson | Nurse Practitioner | 1561 Long Pond Rd, Suite 408, Rochester, NY 14626-4117 | 2014-09-17 |
| 1811251473 | Maysaa A Hameed | Internal Medicine | 1561 Long Pond Rd, Suite 480, Rochester, NY 14626-4117 | 2012-06-28 |
| 1770861726 | Patricia Ann Ryan | Nurse Practitioner | 1561 Long Pond Rd, 150, Rochester, NY 14626-4117 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1518209675 | Peter Alan Dvorak | Radiology | 36 Edgemont Rd, Rochester, NY 14620-4520 | 2013-03-26 |
| 1144519992 | Daniel C Oppenheimer | Radiology | 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 | 2011-04-01 |
| 1992094072 | Joel P Thompson | Radiology | 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 | 2011-03-29 |
| 1871793570 | Ian Jermaine Wilson | Radiology | 1892 Winton Rd S Ste 190, Rochester, NY 14618-3996 | 2007-07-20 |
| 1487860482 | Nadia Fatima Yusaf | Radiology | 2623 South Clinton Ave, Rochester, NY 14618-2623 | 2007-05-15 |
| 1356413470 | Man-mei Nadine Su | Radiology | 1776 11th Ave Ne, Rochester, MN 55906-4215 | 2006-11-14 |
| 1639184377 | Arun Basu | Radiology | 601 Elmwood Ave # 648, Rochester, NY 14642-0001 | 2006-07-30 |
| 1811901135 | Devang Butani | Radiology | 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 | 2006-07-29 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.